| NPI | 1811907306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR CP204575) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME65674) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 76094) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-09-10 |